GRACE BEHAVIORAL HEALTH SERVICES
NPI 1437766375
Nurse Practitioner - Psychiatric/Mental Health in Brick, NJ

Active since September 24, 2020CLIA 31D2326380 · Waiver
1140 BURNT TAVERN RD STE 1A, BRICK, NJ 08724(908) 417-0632 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Apr 9, 2021, Sep 24, 2020 (3 updates tracked since 2020).

About Grace Behavioral Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE BEHAVIORAL HEALTH SERVICES (NPI 1437766375) is a healthcare organization registered as a psychiatric/mental health in Brick, New Jersey and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Omezie Molokwu, President, as its authorized official.

NPPES Registry Identity

NPI1437766375
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGRACE BEHAVIORAL HEALTH SERVICES
Location Address1140 BURNT TAVERN RD STE 1ABrick, NJ 08724-1496
Mailing AddressPo Box 46Lakehurst, NJ 08733-0046 · (908) 417-0632
Organization SubpartNo
Authorized OfficialOmezie MolokwuPresident · (908) 417-0632
Enumeration DateSeptember 24, 2020
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
NPI 1437766375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1140 BURNT TAVERN RD STE 1A, Brick, NJ 08724

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2326380

Grace Behavioral Health Services, PC · Brick, NJ
Active · expires Jul 1, 2027
CLIA Number31D2326380
Laboratory TypePractitioner Other
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorOmezie Molokwu
Laboratory Phone(732) 475-9881
Laboratory LocationGrace Behavioral Health Services, PC1140 Burnt Tavern Road Ste 1A, Brick, NJ 08724
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1140 BURNT TAVERN RD STE 1A
BRICK, NJ 08724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Behavioral Health Services's NPI number?

The NPI number for Grace Behavioral Health Services is 1437766375. It was assigned to this organization in the NPPES registry on September 24, 2020.

Where is Grace Behavioral Health Services located?

Grace Behavioral Health Services is located at 1140 Burnt Tavern Rd Ste 1A, Brick, NJ 08724. The listed phone number is (908) 417-0632.

What is Grace Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Grace Behavioral Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2326380) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Behavioral Health Services was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.